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Phlebology

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https://www.readbyqxmd.com/read/28092206/impact-of-uk-nice-clinical-guidelines-168-on-referrals-to-a-specialist-academic-leg-ulcer-service
#1
Huw Ob Davies, Matthew Popplewell, Gareth Bate, Lisa Kelly, Katy Darvall, Andrew W Bradbury
Background Leg ulcers are a common cause of morbidity and disability and result in significant health and social care expenditure. The UK National Institute for Health and Care Excellence (NICE) Clinical Guideline (CG)168, published in July 2013, sought to improve care of patients with leg ulcers, recommending that patients with a break in the skin below the knee that had not healed within two weeks be referred to a specialist vascular service for diagnosis and management. Aim Determine the impact of CG168 on referrals to a leg ulcer service...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28092205/effect-of-polidocanol-foam-administration-into-rat-peripheral-veins-on-pulmonary-parenchyma
#2
Melissa A de Moraes Silva, Rimarcs G Ferreira, Seleno G de Jesus-Silva, Rodolfo S Cardoso, Fausto Miranda
Background Sclerotherapy has been gaining increased acceptance and popularity as an effective therapy for the treatment of varicose veins. This attention has fed growing interest into the safety and potential complications of this procedure. There is no evidence of pulmonary complications from foam sclerotherapy in humans; however, animal studies have shown possible damage. The aim of this study is to show the changes in rat pulmonary parenchyma after the injection of 1% polidocanol Tessari foam into the peripheral vein using histological analysis of the inflammatory and fibrosis processes...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28084901/lower-limbs-venous-kinetics-and-consequent-impact-on-drainage-direction
#3
Sergio Gianesini, Francesco Sisini, Giovanni Di Domenico, Joel Secchiero, Anna Maria Malagoni, Erica Menegatti, Mauro Gambaccini, Paolo Zamboni
Background Literature concerning the lower limbs physiological venous haemodynamics is still lacking of reference velocity values and consequent impact on drainage direction. Aim of the present study is to assess the flow velocities in the different venous compartments, evaluating the possible Venturi effect role, thus finding clues for the identification of the physical model governing the flow direction. Methods Thirty-six lower limbs underwent a velocity and diameters echo-color-Doppler assessment in several anatomical point of analysis along both the deep and superficial venous systems...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28081661/patients-and-physicians-agree-only-partially-in-symptoms-and-clinical-findings-before-and-after-treatment-for-varicose-veins
#4
Lotte Klitfod, Henrik Sillesen, Leif Panduro Jensen
Objective Quality improvement in surgery has mainly been based on clinical database outcomes. This study compared variables from the patient-reported Aberdeen Varicose Vein Questionnaire with the Danish Clinical Vein Database, in order to reveal agreements and differences in symptoms and clinical findings. Methods In the period January-March 2011, 379 legs in 287 patients treated for varicose veins were registered in the Danish Clinical Vein Database and compared to the Aberdeen Varicose Vein Questionnaire...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28081660/valsalva-maneuver-in-phlebologic-practice
#5
Stefano Ricci, Leo Moro, Girolamo C Minotti, Raffaele A Incalzi, Marianne De Maeseneer
Forced expiration against an airway obstruction was originally described as a method for inflating the Eustachian tubes and is accredited to Antonio Maria Valsalva (1666-1723). The Valsalva maneuver is commonly applied for different diagnostic purposes. Its use for phlebologic diagnosis is the object this review. Venous reflux is the most frequent pathophysiologic mechanism in chronic venous disease. Reflux is easily visualized by duplex ultrasound when properly elicited, in standing position. A simple way to elicit reflux is the so-called "compression-release maneuver": by emptying the muscle reservoir, it determines a centrifugal gradient, dependent on hydrostatic pressure, creating an aspiration system from the superficial to the deep system...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28077026/a-case-control-study-of-risk-factors-of-chronic-venous-ulceration-in-patients-with-varicose-veins
#6
Gohar Abelyan, Lusine Abrahamyan, Gayane Yenokyan
Background/objectives Venous ulcers carry psychological and high financial burden for patients, causing depression, pain, and limitation of mobility. The study aimed to identify factors associated with an increased risk of venous ulceration in patients with varicose veins in Armenia. Methods A case-control study design was utilized enrolling 80 patients in each group, who underwent varicose treatment surgery in two specialized surgical centers in Armenia during 2013-2014 years. Cases were patients with varicose veins and venous leg ulcers...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28073316/clinical-implications-of-the-anatomical-variation-of-deep-venous-thrombosis
#7
Ayman El-Menyar, Mohammad Asim, Gaby Jabbour, Hassan Al-Thani
Introduction Little is known about the anatomic variation and its implication in patients with lower limb deep venous thrombosis (DVT). We studied the clinical presentation, site of thrombosis and risk factors based on the anatomic distribution of lower limb DVT. Methods A retrospective analysis of clinically suspected DVT cases was conducted between 2008 and 2012. DVT was categorized by the location of the thrombosed segment and limb involved. The DVT anatomic segments were assessed according to left-to-right ratio, predisposing factors and clinical presentations...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28056702/management-of-venous-ulcers-according-to-their-anatomical-relationship-with-varicose-veins
#8
Yun-Nan Lin, Tung-Ying Hsieh, Shu-Hung Huang, Chia-Ming Liu, Kao-Ping Chang, Sin-Daw Lin
Background Adequately excising varicose and incompetent perforating veins is necessary for reducing their recurrence rate of venous ulcer. Method In total, 66 venous ulcers (C6) in 1083 legs with primary varicose veins were managed through endoscopic-assisted surgery. In an endoscopic operative view, the nonvaricose, varicose, and incompetent perforating veins were clearly visualized and precisely dissected. The varicose and incompetent perforating veins were divided and completely excised. Result The varicose veins were traced to the base or periphery of the 55 ulcers...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28056701/rivaroxaban-vs-warfarin-on-extended-deep-venous-thromboembolism-treatment-a-cost-analysis
#9
Adem I Diken, Adnan Yalçınkaya, Muhammet O Hanedan, Mehmet E Erol, Özlem E Diken
Background Standard treatment for deep venous thromboembolism involves parenteral anticoagulation overlapping with a vitamin K antagonist, an approach that is effective but associated with limitations including the need for frequent coagulation monitoring. The direct oral anticoagulant rivaroxaban is similarly effective to standard therapy as a single-drug treatment for venous thromboembolism and does not require routine coagulation monitoring. The aim of this analysis was to project the long-term costs and outcomes for rivaroxaban compared to standard of care (tinzaparin/warfarin)...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28056700/the-current-status-of-air-plethysmography-in-evaluating-non-thrombotic-iliac-vein-lesions
#10
Christopher R Lattimer, Erika Mendoza, Evi Kalodiki
No abstract text is available yet for this article.
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28056699/functional-chronic-venous-disease-a-systematic-review
#11
Raffaele Serra, Michele Andreucci, Giovanni De Caridi, Mafalda Massara, Pasquale Mastroroberto, Stefano de Franciscis
Objectives Functional chronic venous disease is an underestimated syndrome quite present in the general population. It affects up to 20% of the general population and is based on the presence of venous symptoms without instrumental evidence of anatomic and morphologic damage. The aim of this review article is to provide the reader with the most updated information on this phenomenon. Methods Medline and Scopus databases were searched without time limit using the key-word: 'Functional chronic venous disease of legs', C0s patients...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28056698/effective-anti-dvt-prophylaxis-in-patients-undergoing-endovenous-treatment-of-varicose-veins
#12
Isaac K Nyamekye
No abstract text is available yet for this article.
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/27940899/prospective-randomized-controlled-study-of-patient-compliance-in-using-a-compression-stocking-importance-of-recommendations-of-the-practitioner-as-a-factor-for-better-compliance
#13
Jean-François Uhl, Jean-Patrick Benigni, Maxime Chahim, Delinotte Fréderic
BACKGROUND: Patient compliance is the cornerstone of compression therapy success. However, there has been up to now no tool to assess it other than self-reporting by the patient, which is not reliable. MATERIAL AND METHODS: Forty active females classified C2S were enrolled to wear compression stockings (CS) providing a pressure of 15-20 mmHg at the ankle.A thermal probe was inserted in the stocking (Thermotrack®), recording the skin temperature every 20 min for four weeks...
December 9, 2016: Phlebology
https://www.readbyqxmd.com/read/27932625/advantages-and-disadvantages-of-graduated-and-inverse-graduated-compression-hosiery-in-patients-with-chronic-venous-insufficiency-and-healthy-volunteers-a-prospective-mono-centric-blinded-open-randomised-controlled-and-cross-over-trial
#14
Helene Riebe, Wolfgang Konschake, Hermann Haase, Michael Jünger
BACKGROUND: The therapeutic effectiveness of compression therapy depends on the selection of compression hosiery. OBJECTIVES: To assess efficacy and tolerability of graduated elastic compression stockings (GECS) and inverse graduated elastic compression stockings (PECS). METHODS: Thirty-two healthy volunteers and thirty-two patients with chronic venous insufficiency were analysed; wear period: one week for each stocking type (randomised, blinded)...
December 8, 2016: Phlebology
https://www.readbyqxmd.com/read/27932624/allele-rs2010963-c-of-the-vegfa-gene-is-associated-with-the-decreased-risk-of-primary-varicose-veins-in-ethnic-russians
#15
Alexandra S Shadrina, Mariya A Smetanina, Ekaterina A Sokolova, Darya V Shamovskaya, Kseniya S Sevost'ianova, Andrey I Shevela, Evgenii Y Soldatsky, Evgenii I Seliverstov, Marina Y Demekhova, Oleg A Shonov, Evgeny A Ilyukhin, Elena N Voronina, Ilya V Pikalov, Igor A Zolotukhin, Alexander I Kirienko, Maxim L Filipenko
OBJECTIVE: To study the association of polymorphisms rs699947, rs2010963, rs3025039 in the VEGFA gene region and rs1870377, rs2305949, rs2071559 in the VEGFR2 gene region with the risk of primary varicose veins in ethnic Russians. METHODS: Genotypes were determined by real-time PCR allelic discrimination. The case group consisted of 448 patients with primary varicose veins and the control group comprised 609 individuals without a history of chronic venous disease...
December 8, 2016: Phlebology
https://www.readbyqxmd.com/read/27928068/clinical-value-of-classification-of-venous-malformations-with-contrast-enhanced-mr-angiography
#16
Ahmed Abdel Khalek Abdel Razek, Germeen Ashmalla Albair, Sieza Samir
AIM: To classify venous malformations based on contrast-enhanced MR angiography that may serve as a basis for treatment plan. PATIENTS AND METHODS: A retrospective analysis was performed in 58 patients with venous malformations who underwent contrast-enhanced MR angiography. Venous malformations were classified according to their venous drainage into: type I, isolated malformation without peripheral drainage; type II, malformation that drains into normal veins; type III, malformation that drains into dilated veins; and type IV, malformation that represents dysplastic venous ectasia...
December 7, 2016: Phlebology
https://www.readbyqxmd.com/read/27928067/lower-limb-venous-diameters-and-haemodynamics-during-pregnancy-and-postpartum-period-in-healthy-primigravidae
#17
Leandro Augusto Gardenghi, Nei Rodrigues Alves Dezotti, Marcelo Bellini Dalio, Wellington de Paula Martins, Edwaldo Edner Joviliano, Carlos Eli Piccinato
OBJECTIVE: Analyse venous haemodynamics in healthy primigravidae during pregnancy and in the postpartum. METHODS: Cohort with primigravidae evaluated in the three trimesters of pregnancy and postpartum. Duplex evaluated venous diameters and reflux; air plethysmography evaluated venous filling index, ejection fraction, residual volume fraction and outflow fraction in both limbs. RESULTS: During pregnancy, diameters increased in bilateral common femoral and right infravalvar great saphenous, but returned to first trimester values after delivery...
December 6, 2016: Phlebology
https://www.readbyqxmd.com/read/27913756/the-short-term-efficacy-of-vena-cava-filters-for-the-prevention-of-pulmonary-embolism-in-patients-with-venous-thromboembolism-receiving-anticoagulation-meta-analysis-of-randomized-controlled-trials
#18
Jun Jiang, Yuanyong Jiao, Xiwei Zhang
OBJECTIVES: To perform a meta-analysis of randomized controlled trials assessing the effectiveness of inferior vena cava filters in patients with deep vein thrombosis for preventing pulmonary embolism. METHOD: Relevant randomized controlled trials of inferior vena cava filters for the prevention of pulmonary embolism were identified by searching electronic databases updated in February 2016. Relative risks of recurrent pulmonary embolism, recurrent deep vein thrombosis, and mortality at three months were analyzed...
December 2, 2016: Phlebology
https://www.readbyqxmd.com/read/27885107/a-systematic-review-of-clinical-prediction-scores-for-deep-vein-thrombosis
#19
REVIEW
Marina Kafeza, Joseph Shalhoub, Nina Salooja, Lucy Bingham, Konstantina Spagou, Alun H Davies
OBJECTIVE: Diagnosis of deep vein thrombosis remains a challenging problem. Various clinical prediction rules have been developed in order to improve diagnosis and decision making in relation to deep vein thrombosis. The purpose of this review is to summarise the available clinical scores and describe their applicability and limitations. METHODS: A systematic search of PubMed, MEDLINE and EMBASE databases was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance using the keywords: clinical score, clinical prediction rule, risk assessment, clinical probability, pretest probability, diagnostic score and medical Subject Heading terms: 'Venous Thromboembolism/diagnosis' OR 'Venous Thrombosis/diagnosis'...
November 24, 2016: Phlebology
https://www.readbyqxmd.com/read/27864562/response-to-letter-long-term-follow-up-results-of-patients-undergoing-transjugular-coil-embolisation
#20
EDITORIAL
Mark Whiteley, Scott Dos Santos
No abstract text is available yet for this article.
November 18, 2016: Phlebology
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